CA3129151A1 - Systeme d'acces chirurgical - Google Patents
Systeme d'acces chirurgical Download PDFInfo
- Publication number
- CA3129151A1 CA3129151A1 CA3129151A CA3129151A CA3129151A1 CA 3129151 A1 CA3129151 A1 CA 3129151A1 CA 3129151 A CA3129151 A CA 3129151A CA 3129151 A CA3129151 A CA 3129151A CA 3129151 A1 CA3129151 A1 CA 3129151A1
- Authority
- CA
- Canada
- Prior art keywords
- access system
- surgical access
- obturator
- cannula
- distal tip
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000005520 cutting process Methods 0.000 claims abstract description 36
- 239000012530 fluid Substances 0.000 claims abstract description 22
- 238000000034 method Methods 0.000 claims description 13
- 238000004891 communication Methods 0.000 claims description 3
- 210000000591 tricuspid valve Anatomy 0.000 description 24
- 201000001943 Tricuspid Valve Insufficiency Diseases 0.000 description 16
- 206010044640 Tricuspid valve incompetence Diseases 0.000 description 16
- 230000001746 atrial effect Effects 0.000 description 14
- 230000033001 locomotion Effects 0.000 description 13
- 230000008439 repair process Effects 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 10
- 210000001519 tissue Anatomy 0.000 description 10
- 210000005245 right atrium Anatomy 0.000 description 8
- 230000010339 dilation Effects 0.000 description 5
- 238000010009 beating Methods 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 230000000747 cardiac effect Effects 0.000 description 4
- 210000003709 heart valve Anatomy 0.000 description 4
- 208000033774 Ventricular Remodeling Diseases 0.000 description 3
- 238000013459 approach Methods 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 3
- 230000000750 progressive effect Effects 0.000 description 3
- 210000005241 right ventricle Anatomy 0.000 description 3
- 210000000779 thoracic wall Anatomy 0.000 description 3
- 210000001631 vena cava inferior Anatomy 0.000 description 3
- 210000002620 vena cava superior Anatomy 0.000 description 3
- 206010003658 Atrial Fibrillation Diseases 0.000 description 2
- 230000004075 alteration Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000007675 cardiac surgery Methods 0.000 description 2
- 230000002612 cardiopulmonary effect Effects 0.000 description 2
- 210000003748 coronary sinus Anatomy 0.000 description 2
- 238000012937 correction Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 238000002224 dissection Methods 0.000 description 2
- 230000004064 dysfunction Effects 0.000 description 2
- 208000019622 heart disease Diseases 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 208000002815 pulmonary hypertension Diseases 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- 206010007558 Cardiac failure chronic Diseases 0.000 description 1
- 208000031229 Cardiomyopathies Diseases 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 201000006660 Ebstein Anomaly Diseases 0.000 description 1
- 208000021908 Myocardial disease Diseases 0.000 description 1
- 208000012287 Prolapse Diseases 0.000 description 1
- 206010038748 Restrictive cardiomyopathy Diseases 0.000 description 1
- 208000025747 Rheumatic disease Diseases 0.000 description 1
- 208000008166 Right Ventricular Dysfunction Diseases 0.000 description 1
- 206010039163 Right ventricular failure Diseases 0.000 description 1
- 208000009982 Ventricular Dysfunction Diseases 0.000 description 1
- 208000037919 acquired disease Diseases 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 210000001765 aortic valve Anatomy 0.000 description 1
- 210000001992 atrioventricular node Anatomy 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 238000005219 brazing Methods 0.000 description 1
- 210000004375 bundle of his Anatomy 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 208000002458 carcinoid tumor Diseases 0.000 description 1
- 210000003698 chordae tendineae Anatomy 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 238000002592 echocardiography Methods 0.000 description 1
- 206010014665 endocarditis Diseases 0.000 description 1
- 201000010048 endomyocardial fibrosis Diseases 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 210000000876 intercostal muscle Anatomy 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 238000013160 medical therapy Methods 0.000 description 1
- 210000004115 mitral valve Anatomy 0.000 description 1
- 210000001087 myotubule Anatomy 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 210000003540 papillary muscle Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 210000003102 pulmonary valve Anatomy 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 230000000552 rheumatic effect Effects 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 230000006814 right ventricular dysfunction Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
- 238000007794 visualization technique Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
- A61B17/3496—Protecting sleeves or inner probes; Retractable tips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
- A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1142—Purse-string sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
- A61B2017/3425—Access ports, e.g. toroid shape introducers for instruments or hands for internal organs, e.g. heart ports
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
- A61B2017/3488—Fixation to inner organ or inner body tissue
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
La présente invention concerne un système d'accès chirurgical. Le système d'accès chirurgical ayant une canule peut comprendre une pointe distale ayant un ou plusieurs canaux longitudinaux répartis autour d'une circonférence de la pointe distale, et un ou plusieurs canaux circonférentiels autour de la pointe distale. Le système d'accès chirurgical comprend également un obturateur pouvant être coaxialement inséré à l'intérieur de la canule qui peut comprendre une pointe distale et un élément de coupe rétractable ayant un dispositif d'actionnement. Le système d'accès chirurgical comprend également une interface d'articulation. Le système d'accès chirurgical peut également comprendre une pointe distale de la canule qui peut en outre comprendre un ou plusieurs ponts répartis dans la circonférence le long desdits canaux circonférentiels de la pointe distale. L'obturateur peut en outre comprendre un tube allongé et un élément piston pouvant coulisser configuré pour réguler l'écoulement du liquide à l'intérieur du tube allongé de l'obturateur.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201962817967P | 2019-03-13 | 2019-03-13 | |
| US62/817,967 | 2019-03-13 | ||
| US201962827352P | 2019-04-01 | 2019-04-01 | |
| US62/827,352 | 2019-04-01 | ||
| PCT/US2020/022700 WO2020186189A1 (fr) | 2019-03-13 | 2020-03-13 | Système d'accès chirurgical |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA3129151A1 true CA3129151A1 (fr) | 2020-09-17 |
Family
ID=72426788
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA3129151A Pending CA3129151A1 (fr) | 2019-03-13 | 2020-03-13 | Systeme d'acces chirurgical |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US20220313243A1 (fr) |
| EP (1) | EP3911250A4 (fr) |
| JP (1) | JP7316368B2 (fr) |
| CN (1) | CN113573648A (fr) |
| AU (1) | AU2020236235B2 (fr) |
| BR (1) | BR112021017886A2 (fr) |
| CA (1) | CA3129151A1 (fr) |
| WO (1) | WO2020186189A1 (fr) |
Family Cites Families (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5797960A (en) * | 1993-02-22 | 1998-08-25 | Stevens; John H. | Method and apparatus for thoracoscopic intracardiac procedures |
| US6346074B1 (en) * | 1993-02-22 | 2002-02-12 | Heartport, Inc. | Devices for less invasive intracardiac interventions |
| CA2261488A1 (fr) * | 1999-01-21 | 2000-07-21 | Anthony Paolitto | Dispositif transabdominal pour pratiquer une chirurgie cardiaque a thorax ferme |
| WO2002004064A1 (fr) | 2000-07-12 | 2002-01-17 | Oma Medical Technologies, Inc. | Systeme de pontage a caractere invasif minime et procedes connexes |
| US8182491B2 (en) * | 2004-08-06 | 2012-05-22 | Depuy Spine, Inc. | Rigidly guided implant placement |
| US8029522B2 (en) | 2005-08-05 | 2011-10-04 | Ethicon Endo-Surgery, Inc. | Method and apparatus for sealing a gastric opening |
| AU2006294523A1 (en) | 2005-09-27 | 2007-04-05 | Synecor, Llc | Transgastric surgical devices and procedures |
| US9226824B2 (en) * | 2010-11-30 | 2016-01-05 | Edwards Lifesciences Corporation | Surgical stabilizer and closure system |
| US10076414B2 (en) * | 2012-02-13 | 2018-09-18 | Mitraspan, Inc. | Method and apparatus for repairing a mitral valve |
| US9700303B2 (en) * | 2013-08-02 | 2017-07-11 | Covidien Lp | Devices, systems, and methods for providing surgical access and facilitating closure of surgical access openings |
| WO2016019349A1 (fr) * | 2014-07-31 | 2016-02-04 | Vasostitch, Inc. | Systèmes et procédés d'avance hélicoïdale d'une suture dans des tissus |
| US10105161B2 (en) * | 2014-08-15 | 2018-10-23 | Covidien Lp | Obturator having an insufflation pathway and an instrument guide |
| US9668725B2 (en) * | 2015-03-24 | 2017-06-06 | Richard B. Beaven | Laparoscopic wound closure device |
-
2020
- 2020-03-13 US US17/635,461 patent/US20220313243A1/en active Pending
- 2020-03-13 BR BR112021017886A patent/BR112021017886A2/pt unknown
- 2020-03-13 JP JP2021549880A patent/JP7316368B2/ja active Active
- 2020-03-13 EP EP20769764.0A patent/EP3911250A4/fr active Pending
- 2020-03-13 CA CA3129151A patent/CA3129151A1/fr active Pending
- 2020-03-13 CN CN202080020044.4A patent/CN113573648A/zh active Pending
- 2020-03-13 AU AU2020236235A patent/AU2020236235B2/en active Active
- 2020-03-13 WO PCT/US2020/022700 patent/WO2020186189A1/fr unknown
Also Published As
| Publication number | Publication date |
|---|---|
| JP2022523934A (ja) | 2022-04-27 |
| AU2020236235A1 (en) | 2021-09-09 |
| EP3911250A1 (fr) | 2021-11-24 |
| WO2020186189A1 (fr) | 2020-09-17 |
| AU2020236235B2 (en) | 2023-03-30 |
| CN113573648A (zh) | 2021-10-29 |
| BR112021017886A2 (pt) | 2021-12-07 |
| EP3911250A4 (fr) | 2023-01-18 |
| US20220313243A1 (en) | 2022-10-06 |
| JP7316368B2 (ja) | 2023-07-27 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20211119 |
|
| EEER | Examination request |
Effective date: 20211119 |
|
| EEER | Examination request |
Effective date: 20211119 |
|
| EEER | Examination request |
Effective date: 20211119 |
|
| EEER | Examination request |
Effective date: 20211119 |
|
| EEER | Examination request |
Effective date: 20211119 |